Adult Blood Lead Epidemiology and Surveillance (ABLES)


The Adult Blood Lead Epidemiology and Surveillance (ABLES) program was created to reduce elevated Blood Lead Levels (BLLs) among working adults 16 years and older.

State health departments choose to participate in the ABLES program by collecting BLL data for their state and providing these data to NIOSH. NIOSH researchers analyze the data to identify trends in adult workplace lead exposure.  We specifically examine industries and occupations where exposures are occurring across the United States. We use this information to guide interventions and prevent work-related lead exposures.

States That Participate in ABLES Help Reduce Workplace Lead Exposure

As of 2022, 37 states collaborate with NIOSH as part of the ABLES program.  Participating in ABLES helps health departments monitor workplace lead exposure trends occurring within their state. The ABLES program also helps states find ways to prevent work-related lead exposure.

Each year, participating states submit:

  • All blood lead levels (BLLs)*
  • Workplace data
  • Demographic information

* Most states report all BLLs, elevated or not, which is extremely useful.

Learn more about ABLES data submission.

Working Together
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As part of ABLES, we encourage state health departments to work with each other and with federal agencies and professional organizations to prevent work-related lead exposure.

We meet with participating states once a year to share ideas at the Annual Conference of the Council of State and Territorial Epidemiologists.


ABLES Historical Documents

ABLES Summary Reports